Individual
JOSEPH J JARES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
318 PARK DR, NEENAH, WI 54956-2899
(360) 539-8487
(360) 358-9944
Mailing address
PO BOX 760, FOX ISLAND, WA 98333-0760
(360) 539-8487
(603) 589-9443
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
42460
WI
2084N0400X
Neurology Physician
MD60578578
WA
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
42460
WI
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
MD60578578
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34005500
—
WI
Enumeration date
10/19/2005
Last updated
08/02/2023
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